Metastatic Colonic Adenocarcinoma Mimicking Acute Bowel Perforation: Hiccups and Vomiting as Unusual Initial Symptoms: A Case Report.

ABSTRACT:

Introduction

Colorectal cancer (CRC), the third most prevalent malignancy globally, can present with complications such as bleeding, obstruction, and, less commonly, perforation. These complications are associated with significant morbidity and mortality, demanding timely recognition and intervention. Unusual initial symptoms can obscure the clinical picture, delaying diagnosis, and treatment.

Case presentation

We report a 50-year-old male with a history of rectosigmoid adenocarcinoma treated with surgery and chemoradiotherapy, presenting with atypical symptoms of intractable hiccups, watery diarrhea, and vomiting. Initial imaging indicated an ileostomy site perforation with signs of ischemic colitis. Exploratory laparotomy revealed a perforation at the splenic flexure, isch

SUBMITTER: Qadir A 

PROVIDER: S-EPMC11661837 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature